FDA Adverse Event
Death
Summary report: N
EXCELSIUS GPS
MDR report key: 18856758
·
Received March 7, 2024
Report
- Report Number
- 3004142400-2021-00244
- Event Type
- Death
- Date Received
- March 7, 2024
- Date of Event
- October 5, 2021
- Report Date
- February 27, 2024
- Manufacturer
- GLOBUS MEDICAL, INC.
- Product Code
- OLO
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
IT WAS REPORTED THAT AN EXCELSIUS ROBOT WAS IN USE WHEN A PATIENT EXPERIENCED ADVERSE HEALTH EFFECTS AND PASSED AWAY. ADDITIONAL INFORMATION PROVIDED THAT NO DEVICE MALFUNCTION OR USER ERROR OCCURRED DURING THE PROCEDURE. DUE TO THE REPORTED EFFECTS TO THE PATIENT NOT BEING RELATED TO ANY GLOBUS MEDICAL PRODUCTS, THIS EVENT IS DETERMINED TO BE NOT REPORTEABLE. THE PURPOSE OF THIS REPORT IS IN AN ABUNDANCE OF CAUTION.
Description of Event or Problem · 0
IT WAS REPORTED THAT AN EXCELSIUS ROBOT WAS IN USE WHEN A PATIENT EXPERIENCED ADVERSE HEALTH EFFECTS AND PASSED AWAY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2196299 | EXCELSIUS GPS | EXCELSIUS GPS - SPINE SOFTWARE MODEL | OLO | GLOBUS MEDICAL, INC. | 999.893 | GPS-0295 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 75 YR | Female | Death |